In consideration of your acceptance of this entry, I, the undersigned, intending to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against KTVK Television; Pepsico; Blue Cross Blue Shield of Arizona; Mollen Clinic; Mollen Foundation, City of Phoenix; USAT&F; Raceplace Event Systems Inc: all other sponsors; and any and all officers, partners, members, managers, affiliates, agents, contractors or employees of the foregoing for any and all injuries sustained and suffered by me during this race. I verify that I am physically fit and have sufficiently trained for competition in this event and a licensed medical doctor has verified my physical condition. If, however, as a result of my participation of this race, I require medical attention, I hereby give my consent to such authorized personnel. I also understand that in the event this race cannot be held as scheduled due to an act of God or circumstances beyond control, the race is not liable to refund any money paid by me to participate. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, motion picture, recordings or any other record of this event for any legitimate purpose. I have read the foregoing and certify my agreement by my signature below.

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Would you like to make an additional donation to the "Mollen Foundation - preventing childhood obesity"

What Size Shirt would you like?

See below to request XXL.

Youth Medium (Sold Out)

Extra Small (Sold Out)

Small (Sold Out)

Medium (Sold Out)

Large (Sold Out)

X-Large (Sold Out)

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Would you like a XXL Size Shirt?

There is an additional $3 charge if you select this size

XX-Large (Sold Out)

Would you like your race packet (shirt + bib) mailed back to you?

Yes

No

Second Runners Last Name

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Second Runners First Name

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Second Runners Age on Race Day

This is not valid integer.
Value needs to be between '1' and '120'
Value needs to be between '1' and '120'

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Second Runners Gender

Male

Female

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Second Runners Shirt Size

Extra Small (Sold Out)

Small (Sold Out)

Medium (Sold Out)

Large (Sold Out)

X-Large (Sold Out)

XX-Large (Sold Out)

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Would you like to purchase a ticket to attend the Hall of Fame Dinner?

Would you like to attend the AZ Runers Hall of Fame Dinner at the JW Marriott Camelback Inn on Friday Nov 2nd, from 6pm -8pm. Tickets limited to the first 100 sold.